DICOM
The Digital Imaging and Communications in Medicine (DICOM) is a standard for the communication of medical images and associated information. This standard has been developed to meet the needs of manufacturers and users of medical imaging equipment for interconnection of devices on standard networks.
- WG9 (PDF 50k)
- Importance of DICOM
DICOM Supplements for Eye Care (2022)
Current as of September 2022
Supplement 91: Ophthalmic Photography SOP Classes (PDF 438k)
Supplement 110: Ophthalmic Tomography Storage SOP Class (PDF 676k)
Supplement 130: Ophthalmic Refractive Measurements Storage and SR SOP (PDF 344k)
Supplement 143: SR Template for Reporting Macular Grid Thickness and Volume (PDF 227k)
Supplement 144: Ophthalmic Axial Measurements Storage SOP Class (PDF 596k)
Supplement 146: Ophthalmic Visual Field - Static Perimetry Measurements Storage SOP Class (PDF 1,487k)
Supplement 152: Ophthalmic Thickness Map Storage SOP Class (PDF 1,021k)
Supplement 168: Corneal Topography Map Storage SOP Class (PDF 1,732k)
Supplement 173: Wide Field Ophthalmic Photography Image Storage SOP Classes (PDF 4,146k)
Supplement 197: Ophthalmic Tomography Angiographic (OCT-A) Storage SOP Classes (PDF 2,829k)
Other Applicable DICOM Supplements:
Supplement 5: Ultrasound Application Profile, IOD and Transfer Syntax Extension (PDF 121k)
Supplement 15: Visible Light Image Object (PDF 61k)
Supplement 32: Digital X-Ray (PDF 255k)
Supplement 58: Enhanced CT Image Storage SOP Class (PDF 404k)
Supplement 226: Confocal Microscopy Imaging (PDF 2,112k)
DICOM Conformance Statements (2022)
Current as of September 2022Carl Zeiss Meditec AG:
- VISUREF 150 Version 1.0 (PDF 924k)
- ATLAS 9000 Version 3.0 (PDF 163k)
- CALLISTO eye® Software Version 3.7 (PDF 885k)
- CIRRUS™ HD-OCT 5000/500 Instrument and Review Software Version 11.5 (PDF 1,365k)
- CIRRUS™ HD-OCT 6000/5000/500 Instrument and Review Software Version 11.5.1 (PDF 1,454k)
- CIRRUS™ HD-OCT 6000/5000/500 Instrument and Review Software Version 11.5.2 (PDF 1,525k)
- CIRRUS™ photo Instrument Software Version 2.0 (PDF 1,357k)
- CLARUS™ 500 and CLARUS™ 700 Version 1.1.3 (PDF 1,203k)
- EQ Mobile Version 1.6, 1.7 (PDF 308k)
- EQ Workplace® Version 1.7 (PDF 510k)
- FORUM® Version 4.2 (PDF 546k)
- FORUM® Hospital IT Integration Version 2.0 VNA Support Module Version 1.5 (PDF 250k)
- FORUM® LINK net Version 2.0 (PDF 999k)
- GDxPRO Instrument Software Version 1.1 GDxPRO Review Software Version 1.0 (PDF522k)
- Glaucoma Workplace Version 3.5 (PDF 825k)
- Humphrey® Field Analyzer - HFA™ 3 Series Version 1.5 (PDF 1,575k)
- IOLMaster® 500 Version 7.7 (PDF 1,258k)
- IOLMaster® 700 Version 1.90 (PDF 1,803k)
- i.Profiler plus Version 3.0 (PDF 670k)
- Humphrey Matrix Model 800 Instrument Version 8.02 (PDF, 447k)
- MEL 90 Version 4.3 (PDF 1,456k)
- PLEX® Elite 9000 Instrument and Review Software Version 2.1 (PDF 659k)
- PRIMUS 200 Version 2.2 (PDF 915k)
- Refractive Workplace Version 1.1 (PDF 1,050k)
- Retina Workplace Version 2.6 (PDF 405k)
- SL Imaging Version 2.1 (PDF 948k)
- Stratus OCT Instrument and Review Software Version 7.0 (PDF 581k)
- Visante AC-OCT Version 3.0 (PDF 325k)
- VISUCAM® 224 and VISUCAM® 524 Version 6.0.6 (PDF 955k)
- VISUCONNECT 600 Version 2.0 (PDF 543k)
- VISUCONNECT 500 Version 1.0.6 (PDF 1,197k)
- VISULENS 550 Version 1.0 (PDF 839k)
- VISUMAX 600 VISUMAX 800 Version 1.1 (1,473k)
- VISUPAC® Digital Imaging and Archive Management System Version 4.5.2 and above (PDF 819k)
- VISUSCREEN 100/500 Version 2.4 (PDF 1,501k)
Heidelberg Engineering:
Kowa:
Nidek:
Optos:
Topcon:
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Standards - IHE, DICOM and SNOMED (see below)
IHE Newsletters
Ask about compliance with standards when you evaluate devices and software.
Health information technology standards should increase the quality of care. The Hoskins Center and the Academy recommends you factor in standards when you evaluate devices, equipment and information systems for your practice. A list of companies participating in the Academy-sponsored standards initiative is available.
An open standards approach gives you flexibility to select systems that meet your needs today and in the future as the digital landscape evolves. Single vendor, proprietary interfaces between devices and software in your office are not standards-based, and do not provide the same assurance of data integrity that standards-based interfaces do. The issue is connecting the right data to the right patient, whenever and wherever you may be viewing it. A standards-based approach enhances quality: you won't lose data in the future, and the right data is connected to the right patient.
Standards Approach - Why you should care about standards?
Why does the Hoskins Center and the Academy think that you should care about standards? Single vendor solutions tie a physician to the success of their selected vendor. Multi-vendor solutions, on the other hand, require a practice to become a "systems integrator," coordinating and problem solving. To have multiple systems connected to support the needs of the practice, systems need to be "interoperable" or talk to each other. This can be done either through an open standards approach or a private, proprietary approach.
Standard-based approaches relevant to eye care include:
- Digital Imaging and Communications in Medicine (DICOM) for digital images and data
- Integrating the Healthcare Enterprise (IHE) Eye Care for exchange of information between different systems within your practice
The Integrating the Healthcare Enterprise (IHE) Eye Care initiative brings together modality vendors, Electronic Health Record (EHR) vendors, image management system vendors, physicians, hospitals, departments of ophthalmology in hospitals, etc., to define the actors and transactions that are required to capture, store, retrieve, process, communicate, etc., information in support of the delivery of medicine and the business activities essential to the economic survival of those organizations.
The most fundamental benefits expected from integrated healthcare enterprises are economic reductions in the total cost of service delivery and quality of care improvements available from the accessibility of EHR information used to optimize care and the utilization of resources required to deliver that care. Plug-to-plug compatibility and interoperable product alternatives should assist decision makers in selecting instruments, EHR systems, etc., that work together seamlessly without the need for special customized efforts and costs for installation and support.
IHE Eye Care Technical Co-Chairs: Rick Butler (Medflow, Inc.) and Imran Chaudhri
IHE Eye Care Planning Committee Co-Chairs: Jim Riggi (Medflow, Inc.) and Linda Wedemeyer (Veterans Administration)
IHE Eye Care Technical Specifications
Final Text Technical Frameworks Volumes 1 and 2 for IHE Eye Care, Issued February 15, 2010
Find out more information about The Electronic Office:
http://www.iheeyecare.org/
SNOMED
Systematized Nomenclature for Human and Veterinary Medicine (SNOMED) was conceived from the start as a system for representing clinical information. Unlike ICD-9 and CPT4, it is not used for billing in the U.S.
Electronic Health Records
If you would like more information or are interested in being involved in IHE or DICOM, contact Flora Lum.
CCHIT Certification
Clarification that CCHIT Certification does not apply for any Eye Care Electronic Health Records.
Currently, there is no eye care specialty CCHIT certification. The current process for testing is not designed for eye care only EHR vendors, and they cannot participate in the process unless they adapt to including ambulatory care elements. A lack of current CCHIT certification does not have significance for eye care specialty needs. Current CCHIT certification means that the system satisfies basic ambulatory care needs. Practices need to look at different systems and how they best meet your needs in delivering eye care services.
At the current time it is problematic to ban the sale of non-CCHIT certified EHRs because not all specialties have CCHIT EHRs available to them at this time. Under the current CCHIT timeline for eye care certification criteria development, it will be virtually impossible for eye care providers to purchase certified systems that are designed for their specialty until 2011. Since most of the remaining surgical specialties are not yet on CCHIT's roadmap, and it is not clear when CCHIT will open its "environmental scan" process where groups can approach CCHIT about expanding certification to other areas, there is a concern that any other specialty approaching CCHIT with the same request is not likely to have certification criteria developed for their specialty until after 2011. If providers must purchase primary care focused EHR systems, they have to make significant and costly modifications to certified primary care focused EHR systems to make them feasible for managing their specific patients. Quality of care and reduced costs will be lost if this is mandated.